| NPI | 1659882066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADRACK JORAM BAMPEBUYE Administrator / Owner 301-683-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health |
| 163WW0000X Registered Nurse Wound Care | |
| 224Z00000X Occupational Therapy Assistant | |
| 364SA2200X Clinical Nurse Specialist Adult Health | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2025-07-22 |